CAJ | 학술논문

目的：评价胎儿超声心动图对先天性冠状动脉瘘的诊断价值。方法回顾性分析3例经胎儿M RI或产后超声心动图诊断为冠状动脉瘘的产前超声资料。结果3例冠状动脉瘘胎儿的产前超声心动图诊断均正确。其中单纯性冠状动脉右室瘘2例，经胎儿M RI证实，超声表现为右心增大、右心室内舒张期异常血流；1例冠状动脉右室瘘，合并复杂先天性心脏病，产前超声表现为右心室内舒张期异常血流，产后由经胸超声心动图证实。结论产前超声心动图可以比较准确地诊断先天性冠状动脉瘘。
목적：평개태인초성심동도대선천성관상동맥루적진단개치。방법회고성분석3례경태인M RI혹산후초성심동도진단위관상동맥루적산전초성자료。결과3례관상동맥루태인적산전초성심동도진단균정학。기중단순성관상동맥우실루2례，경태인M RI증실，초성표현위우심증대、우심실내서장기이상혈류；1례관상동맥우실루，합병복잡선천성심장병，산전초성표현위우심실내서장기이상혈류，산후유경흉초성심동도증실。결론산전초성심동도가이비교준학지진단선천성관상동맥루。
Objective To evaluate the diagnostic value of prenatal echocardiography in the fetus with congenital coronary artery fistula (CAF) .Methods A retrospective echocardiography review of 3 fetus with CAF confirmed by prenatal mag-netic resonance imaging (MRI) or postnatal echocardiography was conducted and reviewed the literature .Results All 3 cases with CAF were diagnosed correctly by echocardiography .Enlargement of right heart and diastolic flow in the right ventricle were shown in 2 cases with CAF confirmed by prenatal MRI ,diastolic flow was shown in 1 case with CAF com-plicated with complex congenital heart disease confirmed by postnatal echocardiography .Conclusion CAF could be accu-rately diagnosed by prenatal echocardiography .